Active NPI
Robert E. Wenger, M.D.
- Psychiatry Physician
- Fort Washington, PA
National Provider Identifier
1912007675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD016115E
- Practice address
- Life of Purpose
1035 Virginia Drive, Suite 120
Fort Washington, PA 19034-1903 - Phone
- (267) 419-7710
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD016115E | PA | Primary |
Addresses
Primary practice location
Life of Purpose
1035 Virginia Drive, Suite 120
Fort Washington, PA 19034-1903
Mailing address
811 Alene Rd
Ambler, PA 19002-2607
Other practice location 1
811 Alene Rd
Ambler, PA 19002-2607
Phone (215) 643-5676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD016115E | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yapa Group Therapy, Inc. | Past | Accepting new patients | |
| Dresher Treatment Group Inc. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Chalfont, PA
- NPI 1750497038
-
- Clinical Psychologist
- Chalfont, PA
- NPI 1265473722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1912007675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 ALENE RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190022607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LIFE OF PURPOSE",
"address_2": "1035 VIRGINIA DRIVE, SUITE 120",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341903",
"telephone_number": "267-419-7710"
}
],
"practiceLocations": [
{
"address_1": "811 Alene Rd",
"address_purpose": "LOCATION",
"city": "Ambler",
"state": "PA",
"postal_code": "190022607",
"country_code": "US",
"telephone_number": "215-643-5676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENGER",
"first_name": "ROBERT",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD016115E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.